Patient Registration Forms

First Visit

Thank you for choosing our office for all your dental needs. We have created a comfortable environment where you can feel confident in the level of dental care you receive.

What to Expect at Your First Visit

During your first visit, our objective is to get to know you better, to become familiar with your past dental experiences and to establish a treatment plan that will best meet your current desires. When you arrive for your first visit, please be prepared to complete all insurance and health information forms.

Also, please assist us by providing the following information:

Any panoramic X-ray taken within the past six months.

If you have dental insurance, please bring your insurance card. This will enable us to give you an estimate of your costs.

Comprehensive Exam

Your initial exam will last approximately one hour. Your doctor will perform a thorough exam. In most cases, we will also clean your teeth. Generally, X-rays will be taken, allowing your doctor to examine your mouth for teeth decay, periodontal problems, jaw problems and any signs of oral cancer. These diagnostic records will help your doctor provide an evaluation outlining any existing dental problems and proposed treatment. We encourage you to ask questions. We'll be glad to discuss any concerns you may have.

Open Communication

We believe that good dental care begins with open communication. We promise to speak candidly with you about our diagnosis and recommendations, any alternative treatments, and any symptoms present that may require treatment from a specialist. Working together, we can achieve a true partnership, with one common goal – keeping your smile beautiful and your teeth, gums and jaw joints healthy!

Dental Health

Adults

Practicing good oral hygiene is the key to maintaining good overall health, especially as we get older. In recent years, bacterial inflammation involved in gum disease has been linked to chronic health problems like stroke, coronary artery disease and premature, low birth-weight babies. Our doctors and hygienists take great care to identify and treat gum disease early to keep you and your mouth healthy.

There are a number of things you can do to help protect your smile and your overall health. Visiting your dentist regularly, at least twice a year, allows us to thoroughly clean your teeth and recognize any potential problems early (i.e. cavities, gingivitis, etc.) before they become more serious. Dental exams give us insight on whether the patient is getting proper nutrition, maintaining a proper oral hygiene regimen and whether there are any growth or development problems.

Here are some helpful tips to ensure you are practicing good oral hygiene at home:

Brush at least three times a day using a fluoridated toothpaste

Floss daily

Eat a well-balanced, healthy diet

Avoid smoking and the use of smokeless tobacco products

By following the above steps, you can help prevent such common problems like cavities, gingivitis, gum disease, oral cancer, as well as more serious diseases that affect your overall health like heart disease and diabetes.

Children

Innumerable studies and research have concluded on the importance of starting children early in their lives with good dental hygiene and oral care. According to research, the most common chronic childhood disease in America is tooth decay, affecting 50 percent of first-graders and 80 percent of 17-year-olds. Early treatment prevents problems affecting a child's health, well-being, self-image and overall achievement.

The National Institute of Dental & Craniofacial Research estimates that children will miss 52 million hours of school each year due to oral health problems and about 12.5 million days of restricted activity every year from dental symptoms. Because there is such a significant loss in their academic performance, the Surgeon General has made children's oral health a priority.

Parents are responsible for ensuring their children practice good dental hygiene. Parents must introduce proper oral care early in a child's life – as early as infancy. The American Dental Hygiene Association states that a good oral hygiene routine for children includes:

Thoroughly cleaning your infant's gums after each feeding with a water-soaked infant cloth. This stimulates the gum tissue and removes food.

Gently brushing your baby's erupted teeth with a small, soft-bristled toothbrush and using a pea-sized amount of fluoridated toothpaste.

Teaching your child at age 2 or 3 about proper brushing techniques and later teaching them brushing and gentle flossing until 7 or 8 years old.

Regular visits with their dentist to check for cavities in the primary teeth and for possible developmental problems.

Encouraging your child to discuss any fears they may have about oral health visits, but not mentioning words like "pain" or "hurt," since this may instill the possibility of pain in the child's thought process.

Determining if the water supply that serves your home is fluoridated; if not, discussing supplement options with your dentist or hygienist.

Asking your hygienist or dentist about sealant applications to protect your child's teeth-chewing surfaces and about bottle tooth decay, which occurs when teeth are frequently exposed to sugared liquids.

Common Problems

Tooth Decay

Caries, or tooth decay, is a preventable disease. While caries might not endanger your life, they may negatively impact your quality of life.

When your teeth and gums are consistently exposed to large amounts of starches and sugars, acids may form that begin to eat away at tooth enamel. Carbohydrate-rich foods such as candy, cookies, soft drinks and even fruit juices leave deposits on your teeth. Those deposits bond with the bacteria that normally survive in your mouth and form plaque. The combination of deposits and plaque forms acids that can damage the mineral structure of teeth, with tooth decay resulting.

Sensitive Teeth

Your teeth expand and contract in reaction to changes in temperature. Hot and cold food and beverages can cause pain or irritation to people with sensitive teeth. Over time, tooth enamel can be worn down, gums may recede or teeth may develop microscopic cracks, exposing the interior of the tooth and irritating nerve endings. Just breathing cold air can be painful for those with extremely sensitive teeth.

Gum Disease

Gum, or periodontal, disease can cause inflammation, tooth loss and bone damage. Gum disease begins with a sticky film of bacteria called plaque. Gums in the early stage of disease, or gingivitis, can bleed easily and become red and swollen. As the disease progresses to periodontitis, teeth may fall out or need to be removed by a dentist. Gum disease is highly preventable and can usually be avoided by daily brushing and flossing. One indicator of gum disease is consistent bad breath or a bad taste in the mouth.

Bad Breath (Halitosis)

Daily brushing and flossing helps to prevent the build-up of food particles, plaque and bacteria in your mouth. Food particles left in the mouth deteriorate and cause bad breath. While certain foods, such as garlic or anchovies, may create temporary bad breath, consistent bad breath may be a sign of gum disease or another dental problem.

Canker Sores

Canker sores (aphthous ulcers) are small sores inside the mouth that often recur. Generally lasting one or two weeks, the duration of canker sores can be reduced by the use of antimicrobial mouthwashes or topical agents. The canker sore has a white or gray base surrounded by a red border.

Orthodontic Problems

A bite that does not meet properly (a malocclusion) can be inherited, or some types may be acquired. Some causes of malocclusion include missing or extra teeth, crowded teeth or misaligned jaws. Accidents or developmental issues, such as finger or thumb sucking over an extended period of time, may cause malocclusions.

Prevention

Tooth Decay Prevention

Tooth decay is a progressive disease resulting in the interaction of bacteria that naturally occur on the teeth and sugars in the everyday diet. Sugar causes a reaction in the bacteria, causing it to produce acids that break down the mineral in teeth, forming a cavity. Dentists remove the decay and fill the tooth using a variety of fillings, restoring the tooth to a healthy state. Nerve damage can result from severe decay and may require a crown (a crown is like a large filling that can cap a tooth, making it stronger or covering it). Avoiding unnecessary decay simply requires strict adherence to a dental hygiene regimen: brushing and flossing twice a day, regular dental check-ups, diet control and fluoride treatment. Practicing good hygiene avoids unhealthy teeth and costly treatment.

Sealants

The grooves and depressions that form the chewing surfaces of the back teeth are extremely difficult (if not impossible) to clean of bacteria and food. As the bacteria reacts with the food, acids form and break down the tooth enamel, causing cavities. Recent studies indicate that 88 percent of total cavities in American school children are caused this way.

Tooth sealants protect these susceptible areas by sealing the grooves and depressions, preventing bacteria and food particles from residing in these areas. Sealant material is a resin typically applied to the back teeth, molars and premolars and areas prone to cavities. It lasts for several years but needs to be checked during regular appointments.

Fluoride

Fluoride is a substance that helps teeth become stronger and resistant to decay. Regularly drinking water treated with fluoride and brushing and flossing regularly ensures significantly lower cavities. Dentists can evaluate the level of fluoride in a primary drinking water source and recommend fluoride supplements (usually in tablets or drops), if necessary.

Thumb Sucking

Sucking is a natural reflex that relaxes and comforts babies and toddlers. Children usually cease thumb sucking when the permanent front teeth are ready to erupt. Typically, children stop between the ages of 2 and 4 years. Thumb sucking that persists beyond the eruption of primary teeth can cause improper growth of the mouth and misalignment of the teeth. If you notice prolonged and/or vigorous thumb sucking behavior in your child, talk to your dentist.

Here are some ways to help your child outgrow thumb sucking:

Don't scold a child when they exhibit thumb sucking behavior; instead, praise them when they don't suck his or her thumb.

Focus on eliminating the cause of anxiety – thumb sucking is a comfort device that helps children cope with stress or discomfort.

Praise them when they refrain from the habit during difficult periods.

Place a bandage on the thumb or a sock on their hand at night.

Emergency Info

Tooth Ache

Begin by cleaning around the sore tooth meticulously. Using warm salt water, rinse the mouth to displace any food trapped between teeth. Under no circumstances should you use aspirin on the aching tooth or on the gum. In the event of facial swelling, apply a cold compress to the area. For temporary pain relief, acetaminophen is recommended. Please contact us for an appointment if the pain persists more than a day.

Cut or Bitten Tongue, Lip or Cheek

Ice can be applied to any bruised areas. For bleeding, apply firm (but gentle) pressure with sterile gauze or a clean cloth. If the bleeding does not stop with pressure or continues after 15 minutes, go to an emergency room.

Broken Tooth

Rinse the area with warm water. Put a cold compress over the facial area of the injury. Recover any broken tooth fragments. Seek immediate dental attention.

Knocked Out Permanent Tooth

Recover the tooth, making sure to hold it by the crown (top) and not the root. Rinse, but do not clean or handle the tooth more than necessary. Reinsert the tooth in the socket, and hold it in place using a clean piece of gauze or cloth. If the tooth cannot be reinserted, carry it in a cup containing milk or water. Because time is essential, see a dentist immediately.

Possible Broken Jaw

In the event of jaw injury, tie the mouth closed with a towel, tie or handkerchief. Go immediately to an emergency room.

Bleeding After a Baby Tooth Falls Out

Fold a piece of gauze and place it (tightly) over the bleeding area. Bite down on the gauze for 15 minutes. If bleeding continues, see a dentist.